﻿<TR>
											<TD class="fieldhead" align="left" colSpan="4"><SPAN style="COLOR: #ff0000">*</SPAN>Home 
												Address:&nbsp;</TD>
										</TR>
										<TR>
											<TD class="smallfieldname" noWrap>House/Block No.:&nbsp;</TD>
											<TD style="WIDTH: 269px"><input name="TextBoxHouseBlkRA" type="text" value="335" maxlength="10" id="TextBoxHouseBlkRA" class="UpperCaseTextBox" style="TEXT-TRANSFORM: uppercase" /></TD>
											<TD class="smallfieldname" noWrap>Unit No.:&nbsp;</TD>
											<TD class="smallfieldvalue" style="WHITE-SPACE: nowrap"><input name="TextBoxUnitNoRA" type="text" maxlength="10" id="TextBoxUnitNoRA" class="UpperCaseTextBox" />(Eg 
												# 11-399 or 11/F B)</TD>
										</TR>
										<TR>
											<TD class="smallfieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Street 
												Name:&nbsp;</TD>
											<TD colSpan="3"><input name="TextBoxStreet1RA" type="text" value="MERCHANT STREET" maxlength="30" id="TextBoxStreet1RA" class="UpperCaseTextBox" /></TD>
										</TR>
										<TR>
											<TD class="smallfieldname" noWrap></TD>
											<TD style="WIDTH: 269px"><input name="TextBoxStreet2RA" type="text" value="KYAUNGGYI WARD" maxlength="30" id="TextBoxStreet2RA" class="UpperCaseTextBox" /></TD>
										</TR>
										<TR>
											<TD class="smallfieldname" noWrap></TD>
											<TD colSpan="3"><input name="TextBoxStreet3RA" type="text" value="PYAY" maxlength="30" id="TextBoxStreet3RA" class="UpperCaseTextBox" /></TD>
										</TR>
										<TR>
											<TD class="smallfieldname" noWrap>State/Province:&nbsp;</TD>
											<TD style="WIDTH: 269px"><input name="TextBoxStateRA" type="text" maxlength="30" id="TextBoxStateRA" class="UpperCaseTextBox" /></TD>
											<TD align="left" colSpan="3">(for foreign address only)</TD>
										</TR>
										<TR>
											<TD class="smallfieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Country:&nbsp;</TD>
											<TD style="WIDTH: 269px"><select name="DropDownListCountryRA" onchange="__doPostBack('DropDownListCountryRA','')" language="javascript" id="DropDownListCountryRA" class="list">
	<option value="">-- Select One --</option>
	<option value="AF">AFGHANISTAN(ISLAMIC ST.</option>
	<option value="AA">AFRICA</option>
	<option value="AL">ALBANIA</option>
	<option value="DZ">ALGERIA</option>
	<option value="AB">AMERICAN COUNTRIES</option>
	<option value="AS">AMERICAN SAMOA</option>
	<option value="AD">ANDORRA</option>
	<option value="AO">ANGOLA (REPUBLIC OF)</option>
	<option value="AI">ANGUILLA</option>
	<option value="AQ">ANTARCTICA</option>
	<option value="AG">ANTIGUA</option>
	<option value="AR">ARGENTINA</option>
	<option value="AM">ARMENIA</option>
	<option value="AW">ARUBA</option>
	<option value="AC">ASCENSION ISLAND</option>
	<option value="AU">AUSTRALIA</option>
	<option value="AT">AUSTRIA</option>
	<option value="AZ">AZERBAIDJAN</option>
	<option value="BS">BAHAMAS</option>
	<option value="BH">BAHRAIN</option>
	<option value="BD">BANGLADESH</option>
	<option value="BB">BARBADOS</option>
	<option value="BY">BELARUS</option>
	<option value="BE">BELGIUM</option>
	<option value="BZ">BELIZE</option>
	<option value="BJ">BENIN</option>
	<option value="BM">BERMUDA</option>
	<option value="BT">BHUTAN</option>
	<option value="BO">BOLIVIA</option>
	<option value="BA">BOSNIA-HERZEGOVINA</option>
	<option value="BW">BOTSWANA</option>
	<option value="BV">BOUVET ISLAND</option>
	<option value="BR">BRAZIL</option>
	<option value="IO">BRITISH INDIAN O. TER.</option>
	<option value="BN">BRUNEI DARUSSALAM</option>
	<option value="BG">BULGARIA</option>
	<option value="BF">BURKINA FASO</option>
	<option value="BI">BURUNDI</option>
	<option value="KH">CAMBODIA</option>
	<option value="CM">CAMEROON</option>
	<option value="CA">CANADA</option>
	<option value="CV">CAPE VERDE</option>
	<option value="KY">CAYMAN ISLANDS</option>
	<option value="CF">CENTRAL AFRICAN REP.</option>
	<option value="TD">CHAD</option>
	<option value="CL">CHILE</option>
	<option value="CN">CHINA</option>
	<option value="HK">CHINA, HONG KONG</option>
	<option value="MO">CHINA, MACAU</option>
	<option value="TW">CHINA, TAIWAN</option>
	<option value="CX">CHRISTMAS ISLAND</option>
	<option value="CC">COCOS (KEELING) ISL.</option>
	<option value="CO">COLOMBIA</option>
	<option value="KM">COMOROS</option>
	<option value="CG">CONGO</option>
	<option value="CK">COOK ISLANDS</option>
	<option value="CR">COSTA RICA</option>
	<option value="HR">CROATIA</option>
	<option value="CU">CUBA</option>
	<option value="CY">CYPRUS</option>
	<option value="CZ">CZECH REPUBLIC</option>
	<option value="CS">CZECHOSLOVAKIA</option>
	<option value="DK">DENMARK</option>
	<option value="DJ">DJIBOUTI</option>
	<option value="DM">DOMINICA</option>
	<option value="DO">DOMINICAN REPUBLIC</option>
	<option value="TP">EAST TIMOR</option>
	<option value="EC">ECUADOR</option>
	<option value="EG">EGYPT</option>
	<option value="SV">EL SALVADOR</option>
	<option value="GQ">EQUATORIAL GUINEA</option>
	<option value="ER">ERITREA</option>
	<option value="EE">ESTONIA</option>
	<option value="ET">ETHIOPIA</option>
	<option value="EO">EUROPE</option>
	<option value="FK">FALKLAND ISL.(MALVINAS)</option>
	<option value="FO">FAROE ISLANDS</option>
	<option value="FJ">FIJI</option>
	<option value="FI">FINLAND</option>
	<option value="FR">FRANCE</option>
	<option value="TF">FRENCH SOUTHERN TERR.</option>
	<option value="GA">GABON</option>
	<option value="GM">GAMBIA</option>
	<option value="GE">GEORGIA</option>
	<option value="DE">GERMANY</option>
	<option value="GH">GHANA</option>
	<option value="GI">GIBRALTAR</option>
	<option value="GB">GREAT BRITAIN (UK)</option>
	<option value="GR">GREECE</option>
	<option value="GL">GREENLAND</option>
	<option value="GD">GRENADA</option>
	<option value="GP">GUADELOUPE (FR.)</option>
	<option value="GU">GUAM (US)</option>
	<option value="GT">GUATEMALA</option>
	<option value="GK">GUERNSEY</option>
	<option value="GG">GUERNSEY  (CH. ISL.)</option>
	<option value="GF">GUIANA (FR.)</option>
	<option value="GN">GUINEA</option>
	<option value="GW">GUINEA BISSAU</option>
	<option value="GY">GUYANA</option>
	<option value="HT">HAITI</option>
	<option value="HM">HEARD &amp; MCDONALD ISL.</option>
	<option value="HN">HONDURAS</option>
	<option value="HU">HUNGARY</option>
	<option value="IS">ICELANDIC</option>
	<option value="IN">INDIA</option>
	<option value="ID">INDONESIA</option>
	<option value="IR">IRAN</option>
	<option value="IQ">IRAQ</option>
	<option value="IE">IRELAND</option>
	<option value="IM">ISLE OF MAN</option>
	<option value="IL">ISRAEL</option>
	<option value="IT">ITALY</option>
	<option value="CI">IVORY COAST</option>
	<option value="JM">JAMAICA</option>
	<option value="JP">JAPAN</option>
	<option value="JE">JERSEY (CH. ISL.)</option>
	<option value="JO">JORDAN</option>
	<option value="KZ">KAZAKSTAN</option>
	<option value="KE">KENYA</option>
	<option value="KI">KIRIBATI</option>
	<option value="KP">KOREA (NORTH)</option>
	<option value="KR">KOREA (SOUTH)</option>
	<option value="KW">KUWAIT</option>
	<option value="KG">KYRGYZ REPUBLIC</option>
	<option value="LA">LAOS</option>
	<option value="LV">LATVIA</option>
	<option value="LB">LEBANON</option>
	<option value="LS">LESOTHO</option>
	<option value="LR">LIBERIA</option>
	<option value="LY">LIBYA</option>
	<option value="LI">LIECHTENSTEIN</option>
	<option value="LT">LITHUANIA</option>
	<option value="LU">LUXEMBOURG</option>
	<option value="MK">MACEDONIA (FORMER YUG.)</option>
	<option value="MG">MADAGASCAR</option>
	<option value="MW">MALAWI</option>
	<option value="MY">MALAYSIA</option>
	<option value="MV">MALDIVES</option>
	<option value="ML">MALI</option>
	<option value="MT">MALTA</option>
	<option value="MH">MARSHALL ISLANDS</option>
	<option value="MQ">MARTINIQUE (FR.)</option>
	<option value="MR">MAURITANIA</option>
	<option value="MU">MAURITIUS</option>
	<option value="YT">MAYOTTE</option>
	<option value="MX">MEXICO</option>
	<option value="FM">MICRONESIA</option>
	<option value="MD">MOLDOVA</option>
	<option value="MC">MONACO</option>
	<option value="MN">MONGOLIA</option>
	<option value="MS">MONTSERRAT</option>
	<option value="MA">MOROCCO</option>
	<option value="MZ">MOZAMBIQUE</option>
	<option selected="selected" value="MM">MYANMAR</option>
	<option value="NA">NAMIBIA</option>
	<option value="NR">NAURU</option>
	<option value="NP">NEPAL</option>
	<option value="AN">NETHERLAND ANTILLES</option>
	<option value="NL">NETHERLANDS</option>
	<option value="NC">NEW CALEDONIA (FR.)</option>
	<option value="NZ">NEW ZEALAND</option>
	<option value="NI">NICARAGUA</option>
	<option value="NE">NIGER</option>
	<option value="NG">NIGERIA</option>
	<option value="NU">NIUE</option>
	<option value="NF">NORFOLK ISLAND</option>
	<option value="MP">NORTHERN MARIANA ISL.</option>
	<option value="NO">NORWAY</option>
	<option value="OM">OMAN</option>
	<option value="PK">PAKISTAN</option>
	<option value="PW">PALAU</option>
	<option value="PS">PALESTINIAN</option>
	<option value="PA">PANAMA</option>
	<option value="PG">PAPUA NEW GUINEA</option>
	<option value="PY">PARAGUAY</option>
	<option value="PE">PERU</option>
	<option value="PH">PHILIPPINES</option>
	<option value="PI">PITCAIRN</option>
	<option value="PL">POLAND</option>
	<option value="PF">POLYNESIA (FR.)</option>
	<option value="PT">PORTUGAL</option>
	<option value="PR">PUERTO RICO (US)</option>
	<option value="QA">QATAR</option>
	<option value="CD">REP. DEM. CONGO</option>
	<option value="RE">REUNION (FR.)</option>
	<option value="RO">ROMANIA</option>
	<option value="RU">RUSSIAN FEDERATION</option>
	<option value="RW">RWANDA</option>
	<option value="LC">SAINT LUCIA</option>
	<option value="SM">SAN MARINO</option>
	<option value="SA">SAUDI ARABIA</option>
	<option value="SN">SENEGAL</option>
	<option value="RS">SERBIA</option>
	<option value="SC">SEYCHELLES</option>
	<option value="SL">SIERRA LEONE</option>
	<option value="SG">SINGAPORE</option>
	<option value="SK">SLOVAK REPUBLIC</option>
	<option value="SI">SLOVENIA</option>
	<option value="SB">SOLOMON ISLANDS</option>
	<option value="SO">SOMALIA</option>
	<option value="WM">SOMOA</option>
	<option value="ZA">SOUTH AFRICA</option>
	<option value="GS">SOUTH GEORGIA  AND SOUTH SANDWICH ISLANDS</option>
	<option value="SU">SOVIET UNION</option>
	<option value="ES">SPAIN</option>
	<option value="LK">SRI LANKA</option>
	<option value="SH">ST. HELENA</option>
	<option value="PM">ST. PIERRE &amp; MIQUELON</option>
	<option value="ST">ST. TOME AND PRINCIPE</option>
	<option value="KN">ST.KITTS NEVIS ANG.   P</option>
	<option value="VC">ST.VINCENT &amp; GRENADINES</option>
	<option value="SD">SUDAN</option>
	<option value="SR">SURINAME</option>
	<option value="SJ">SVALBARD &amp; JAN MAYEN IS</option>
	<option value="SZ">SWAZILAND</option>
	<option value="SE">SWEDEN</option>
	<option value="CH">SWITZERLAND</option>
	<option value="SY">SYRIA</option>
	<option value="TJ">TADJIKISTAN</option>
	<option value="TZ">TANZANIA</option>
	<option value="TH">THAILAND</option>
	<option value="TG">TOGO</option>
	<option value="TK">TOKELAU</option>
	<option value="TO">TONGA</option>
	<option value="TT">TRINIDAD &amp; TOBAGO</option>
	<option value="TN">TUNISIA</option>
	<option value="TR">TURKEY</option>
	<option value="TM">TURKMENISTAN</option>
	<option value="TC">TURKS &amp; CAICOS ISLANDS</option>
	<option value="TV">TUVALU</option>
	<option value="UG">UGANDA</option>
	<option value="UA">UKRAINE</option>
	<option value="AE">UNITED ARAB EMIRATES</option>
	<option value="UK">UNITED KINGDOM</option>
	<option value="US">UNITED STATES</option>
	<option value="UY">URUGUAY</option>
	<option value="UM">US MINOR OUTLYING ISL.</option>
	<option value="UZ">UZBEKISTAN</option>
	<option value="VU">VANUATU</option>
	<option value="VA">VATICAN CITY STATE</option>
	<option value="VE">VENEZUELA</option>
	<option value="VN">VIETNAM</option>
	<option value="VG">VIRGIN ISLANDS (BRIT)</option>
	<option value="VI">VIRGIN ISLANDS (US)</option>
	<option value="WF">WALLIS &amp; FUTUNA ISLANDS</option>
	<option value="EH">WESTERN SAHARA</option>
	<option value="YE">YEMEN</option>
	<option value="YU">YUGOSLAVIA</option>
	<option value="ZM">ZAMBIA</option>
	<option value="ZW">ZIMBABWE</option>

</select></TD>
											<TD class="smallfieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Postal:&nbsp;</TD>
											<TD><input name="TextBoxPostalRA" type="text" value="0" maxlength="10" id="TextBoxPostalRA" class="UpperCaseTextbox" /></TD>
										</TR>
										<TR>
											<TD style="HEIGHT: 3px"></TD>
											<TD colSpan="3"></TD>
										</TR>
										<TR>
											<TD class="smallfieldname" noWrap></TD>
											<TD colSpan="3">Click <A onclick="PostValueRA();" href="#this"><U>here</U></A> to 
												see your address layout</TD>
										</TR>
										<TR>
											<TD style="HEIGHT: 3px"></TD>
											<TD colSpan="3"><FONT face="ËÎÌå"></FONT></TD>
										</TR>
										<TR>
											<TD class="smallfieldname" noWrap>Telephone No.:&nbsp;</TD>
											<TD colSpan="3"><input name="TextBoxTelCounRA" type="text" maxlength="3" id="TextBoxTelCounRA" class="textbox" />&nbsp;&nbsp;<input name="TextBoxTelAreaRA" type="text" maxlength="4" id="TextBoxTelAreaRA" class="textbox" />&nbsp;&nbsp;<input name="TextBoxTelNumRA" type="text" maxlength="15" id="TextBoxTelNumRA" class="textbox" />&nbsp;&nbsp;
												<input name="TextboxTelExtRA" type="text" maxlength="5" id="TextboxTelExtRA" class="textbox" /></TD>
										</TR>
										<TR>
											<TD>&nbsp;</TD>
											<TD align="left" colSpan="3">(Country)&nbsp;&nbsp;&nbsp;&nbsp;(Area)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Number)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Ext)</TD>
										</TR>
										<TR>
											<TD colSpan="4">&nbsp;</TD>
										</TR>
										<TR width="100%">
											<TD width="100%" colSpan="4">
												<TABLE width="100%">
													<TR width="100%">
														<TD class="fieldhead" width="20%">Correspondence Address:&nbsp;</TD>
														<TD class="longfieldnote" width="80%"><input id="CheckBoxCorrAddr" type="checkbox" name="CheckBoxCorrAddr" checked="checked" onclick="__doPostBack('CheckBoxCorrAddr','')" language="javascript" /><label for="CheckBoxCorrAddr">I would like Temasek Polytechnic to send all correspondences to the following 
							address (if different from residential address)</label></TD>
													</TR>
												</TABLE>
											</TD>
										</TR>
										
											<TR>
												<TD class="smallfieldname" noWrap>House/Block No.:&nbsp;</TD>
												<TD style="WIDTH: 269px">
													<input name="TextBoxHouseBlkCA" type="text" value="331" maxlength="10" id="TextBoxHouseBlkCA" class="UpperCaseTextBox" style="TEXT-TRANSFORM: uppercase" /></TD>
												<TD class="smallfieldname" noWrap>Unit No.:&nbsp;</TD>
												<TD style="WHITE-SPACE: nowrap" class="smallfieldvalue">
													<input name="TextBoxUnitNoCA" type="text" value="02-1871" maxlength="10" id="TextBoxUnitNoCA" class="UpperCaseTextBox" />(Eg 
													# 11-399 or 11/F B)</TD>
											</TR>
											<TR>
												<TD class="smallfieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Street 
													Name:&nbsp;</TD>
												<TD colSpan="3">
													<input name="TextBoxStreet1CA" type="text" value="ANG MO KIO AVENUE 1" maxlength="30" id="TextBoxStreet1CA" class="UpperCaseTextBox" /></TD>
											</TR>
											<TR>
												<TD class="smallfieldname" noWrap><FONT face="ËÎÌå"></FONT></TD>
												<TD style="WIDTH: 269px">
													<input name="TextBoxStreet2CA" type="text" maxlength="30" id="TextBoxStreet2CA" class="UpperCaseTextBox" /></TD>
											</TR>
											<TR>
												<TD class="smallfieldname" noWrap></TD>
												<TD colSpan="3">
													<input name="TextBoxStreet3CA" type="text" maxlength="30" id="TextBoxStreet3CA" class="UpperCaseTextBox" /></TD>
											</TR>
											<TR>
												<TD class="smallfieldname" noWrap>State/Province:&nbsp;</TD>
												<TD style="WIDTH: 269px">
													<input name="TextBoxStateCA" type="text" maxlength="30" id="TextBoxStateCA" class="UpperCaseTextBox" /></TD>
												<TD colSpan="3" align="left">(for foreign address only)</TD>
											</TR>
											<TR>
												<TD style="HEIGHT: 29px" class="smallfieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Country:&nbsp;</TD>
												<TD style="WIDTH: 269px; HEIGHT: 29px">
													<select name="DropDownListCountryCA" onchange="__doPostBack('DropDownListCountryCA','')" language="javascript" id="DropDownListCountryCA" class="list">
	<option value="">-- Select One --</option>
	<option value="AF">AFGHANISTAN(ISLAMIC ST.</option>
	<option value="AA">AFRICA</option>
	<option value="AL">ALBANIA</option>
	<option value="DZ">ALGERIA</option>
	<option value="AB">AMERICAN COUNTRIES</option>
	<option value="AS">AMERICAN SAMOA</option>
	<option value="AD">ANDORRA</option>
	<option value="AO">ANGOLA (REPUBLIC OF)</option>
	<option value="AI">ANGUILLA</option>
	<option value="AQ">ANTARCTICA</option>
	<option value="AG">ANTIGUA</option>
	<option value="AR">ARGENTINA</option>
	<option value="AM">ARMENIA</option>
	<option value="AW">ARUBA</option>
	<option value="AC">ASCENSION ISLAND</option>
	<option value="AU">AUSTRALIA</option>
	<option value="AT">AUSTRIA</option>
	<option value="AZ">AZERBAIDJAN</option>
	<option value="BS">BAHAMAS</option>
	<option value="BH">BAHRAIN</option>
	<option value="BD">BANGLADESH</option>
	<option value="BB">BARBADOS</option>
	<option value="BY">BELARUS</option>
	<option value="BE">BELGIUM</option>
	<option value="BZ">BELIZE</option>
	<option value="BJ">BENIN</option>
	<option value="BM">BERMUDA</option>
	<option value="BT">BHUTAN</option>
	<option value="BO">BOLIVIA</option>
	<option value="BA">BOSNIA-HERZEGOVINA</option>
	<option value="BW">BOTSWANA</option>
	<option value="BV">BOUVET ISLAND</option>
	<option value="BR">BRAZIL</option>
	<option value="IO">BRITISH INDIAN O. TER.</option>
	<option value="BN">BRUNEI DARUSSALAM</option>
	<option value="BG">BULGARIA</option>
	<option value="BF">BURKINA FASO</option>
	<option value="BI">BURUNDI</option>
	<option value="KH">CAMBODIA</option>
	<option value="CM">CAMEROON</option>
	<option value="CA">CANADA</option>
	<option value="CV">CAPE VERDE</option>
	<option value="KY">CAYMAN ISLANDS</option>
	<option value="CF">CENTRAL AFRICAN REP.</option>
	<option value="TD">CHAD</option>
	<option value="CL">CHILE</option>
	<option value="CN">CHINA</option>
	<option value="HK">CHINA, HONG KONG</option>
	<option value="MO">CHINA, MACAU</option>
	<option value="TW">CHINA, TAIWAN</option>
	<option value="CX">CHRISTMAS ISLAND</option>
	<option value="CC">COCOS (KEELING) ISL.</option>
	<option value="CO">COLOMBIA</option>
	<option value="KM">COMOROS</option>
	<option value="CG">CONGO</option>
	<option value="CK">COOK ISLANDS</option>
	<option value="CR">COSTA RICA</option>
	<option value="HR">CROATIA</option>
	<option value="CU">CUBA</option>
	<option value="CY">CYPRUS</option>
	<option value="CZ">CZECH REPUBLIC</option>
	<option value="CS">CZECHOSLOVAKIA</option>
	<option value="DK">DENMARK</option>
	<option value="DJ">DJIBOUTI</option>
	<option value="DM">DOMINICA</option>
	<option value="DO">DOMINICAN REPUBLIC</option>
	<option value="TP">EAST TIMOR</option>
	<option value="EC">ECUADOR</option>
	<option value="EG">EGYPT</option>
	<option value="SV">EL SALVADOR</option>
	<option value="GQ">EQUATORIAL GUINEA</option>
	<option value="ER">ERITREA</option>
	<option value="EE">ESTONIA</option>
	<option value="ET">ETHIOPIA</option>
	<option value="EO">EUROPE</option>
	<option value="FK">FALKLAND ISL.(MALVINAS)</option>
	<option value="FO">FAROE ISLANDS</option>
	<option value="FJ">FIJI</option>
	<option value="FI">FINLAND</option>
	<option value="FR">FRANCE</option>
	<option value="TF">FRENCH SOUTHERN TERR.</option>
	<option value="GA">GABON</option>
	<option value="GM">GAMBIA</option>
	<option value="GE">GEORGIA</option>
	<option value="DE">GERMANY</option>
	<option value="GH">GHANA</option>
	<option value="GI">GIBRALTAR</option>
	<option value="GB">GREAT BRITAIN (UK)</option>
	<option value="GR">GREECE</option>
	<option value="GL">GREENLAND</option>
	<option value="GD">GRENADA</option>
	<option value="GP">GUADELOUPE (FR.)</option>
	<option value="GU">GUAM (US)</option>
	<option value="GT">GUATEMALA</option>
	<option value="GK">GUERNSEY</option>
	<option value="GG">GUERNSEY  (CH. ISL.)</option>
	<option value="GF">GUIANA (FR.)</option>
	<option value="GN">GUINEA</option>
	<option value="GW">GUINEA BISSAU</option>
	<option value="GY">GUYANA</option>
	<option value="HT">HAITI</option>
	<option value="HM">HEARD &amp; MCDONALD ISL.</option>
	<option value="HN">HONDURAS</option>
	<option value="HU">HUNGARY</option>
	<option value="IS">ICELANDIC</option>
	<option value="IN">INDIA</option>
	<option value="ID">INDONESIA</option>
	<option value="IR">IRAN</option>
	<option value="IQ">IRAQ</option>
	<option value="IE">IRELAND</option>
	<option value="IM">ISLE OF MAN</option>
	<option value="IL">ISRAEL</option>
	<option value="IT">ITALY</option>
	<option value="CI">IVORY COAST</option>
	<option value="JM">JAMAICA</option>
	<option value="JP">JAPAN</option>
	<option value="JE">JERSEY (CH. ISL.)</option>
	<option value="JO">JORDAN</option>
	<option value="KZ">KAZAKSTAN</option>
	<option value="KE">KENYA</option>
	<option value="KI">KIRIBATI</option>
	<option value="KP">KOREA (NORTH)</option>
	<option value="KR">KOREA (SOUTH)</option>
	<option value="KW">KUWAIT</option>
	<option value="KG">KYRGYZ REPUBLIC</option>
	<option value="LA">LAOS</option>
	<option value="LV">LATVIA</option>
	<option value="LB">LEBANON</option>
	<option value="LS">LESOTHO</option>
	<option value="LR">LIBERIA</option>
	<option value="LY">LIBYA</option>
	<option value="LI">LIECHTENSTEIN</option>
	<option value="LT">LITHUANIA</option>
	<option value="LU">LUXEMBOURG</option>
	<option value="MK">MACEDONIA (FORMER YUG.)</option>
	<option value="MG">MADAGASCAR</option>
	<option value="MW">MALAWI</option>
	<option value="MY">MALAYSIA</option>
	<option value="MV">MALDIVES</option>
	<option value="ML">MALI</option>
	<option value="MT">MALTA</option>
	<option value="MH">MARSHALL ISLANDS</option>
	<option value="MQ">MARTINIQUE (FR.)</option>
	<option value="MR">MAURITANIA</option>
	<option value="MU">MAURITIUS</option>
	<option value="YT">MAYOTTE</option>
	<option value="MX">MEXICO</option>
	<option value="FM">MICRONESIA</option>
	<option value="MD">MOLDOVA</option>
	<option value="MC">MONACO</option>
	<option value="MN">MONGOLIA</option>
	<option value="MS">MONTSERRAT</option>
	<option value="MA">MOROCCO</option>
	<option value="MZ">MOZAMBIQUE</option>
	<option value="MM">MYANMAR</option>
	<option value="NA">NAMIBIA</option>
	<option value="NR">NAURU</option>
	<option value="NP">NEPAL</option>
	<option value="AN">NETHERLAND ANTILLES</option>
	<option value="NL">NETHERLANDS</option>
	<option value="NC">NEW CALEDONIA (FR.)</option>
	<option value="NZ">NEW ZEALAND</option>
	<option value="NI">NICARAGUA</option>
	<option value="NE">NIGER</option>
	<option value="NG">NIGERIA</option>
	<option value="NU">NIUE</option>
	<option value="NF">NORFOLK ISLAND</option>
	<option value="MP">NORTHERN MARIANA ISL.</option>
	<option value="NO">NORWAY</option>
	<option value="OM">OMAN</option>
	<option value="PK">PAKISTAN</option>
	<option value="PW">PALAU</option>
	<option value="PS">PALESTINIAN</option>
	<option value="PA">PANAMA</option>
	<option value="PG">PAPUA NEW GUINEA</option>
	<option value="PY">PARAGUAY</option>
	<option value="PE">PERU</option>
	<option value="PH">PHILIPPINES</option>
	<option value="PI">PITCAIRN</option>
	<option value="PL">POLAND</option>
	<option value="PF">POLYNESIA (FR.)</option>
	<option value="PT">PORTUGAL</option>
	<option value="PR">PUERTO RICO (US)</option>
	<option value="QA">QATAR</option>
	<option value="CD">REP. DEM. CONGO</option>
	<option value="RE">REUNION (FR.)</option>
	<option value="RO">ROMANIA</option>
	<option value="RU">RUSSIAN FEDERATION</option>
	<option value="RW">RWANDA</option>
	<option value="LC">SAINT LUCIA</option>
	<option value="SM">SAN MARINO</option>
	<option value="SA">SAUDI ARABIA</option>
	<option value="SN">SENEGAL</option>
	<option value="RS">SERBIA</option>
	<option value="SC">SEYCHELLES</option>
	<option value="SL">SIERRA LEONE</option>
	<option selected="selected" value="SG">SINGAPORE</option>
	<option value="SK">SLOVAK REPUBLIC</option>
	<option value="SI">SLOVENIA</option>
	<option value="SB">SOLOMON ISLANDS</option>
	<option value="SO">SOMALIA</option>
	<option value="WM">SOMOA</option>
	<option value="ZA">SOUTH AFRICA</option>
	<option value="GS">SOUTH GEORGIA  AND SOUTH SANDWICH ISLANDS</option>
	<option value="SU">SOVIET UNION</option>
	<option value="ES">SPAIN</option>
	<option value="LK">SRI LANKA</option>
	<option value="SH">ST. HELENA</option>
	<option value="PM">ST. PIERRE &amp; MIQUELON</option>
	<option value="ST">ST. TOME AND PRINCIPE</option>
	<option value="KN">ST.KITTS NEVIS ANG.   P</option>
	<option value="VC">ST.VINCENT &amp; GRENADINES</option>
	<option value="SD">SUDAN</option>
	<option value="SR">SURINAME</option>
	<option value="SJ">SVALBARD &amp; JAN MAYEN IS</option>
	<option value="SZ">SWAZILAND</option>
	<option value="SE">SWEDEN</option>
	<option value="CH">SWITZERLAND</option>
	<option value="SY">SYRIA</option>
	<option value="TJ">TADJIKISTAN</option>
	<option value="TZ">TANZANIA</option>
	<option value="TH">THAILAND</option>
	<option value="TG">TOGO</option>
	<option value="TK">TOKELAU</option>
	<option value="TO">TONGA</option>
	<option value="TT">TRINIDAD &amp; TOBAGO</option>
	<option value="TN">TUNISIA</option>
	<option value="TR">TURKEY</option>
	<option value="TM">TURKMENISTAN</option>
	<option value="TC">TURKS &amp; CAICOS ISLANDS</option>
	<option value="TV">TUVALU</option>
	<option value="UG">UGANDA</option>
	<option value="UA">UKRAINE</option>
	<option value="AE">UNITED ARAB EMIRATES</option>
	<option value="UK">UNITED KINGDOM</option>
	<option value="US">UNITED STATES</option>
	<option value="UY">URUGUAY</option>
	<option value="UM">US MINOR OUTLYING ISL.</option>
	<option value="UZ">UZBEKISTAN</option>
	<option value="VU">VANUATU</option>
	<option value="VA">VATICAN CITY STATE</option>
	<option value="VE">VENEZUELA</option>
	<option value="VN">VIETNAM</option>
	<option value="VG">VIRGIN ISLANDS (BRIT)</option>
	<option value="VI">VIRGIN ISLANDS (US)</option>
	<option value="WF">WALLIS &amp; FUTUNA ISLANDS</option>
	<option value="EH">WESTERN SAHARA</option>
	<option value="YE">YEMEN</option>
	<option value="YU">YUGOSLAVIA</option>
	<option value="ZM">ZAMBIA</option>
	<option value="ZW">ZIMBABWE</option>

</select></TD>
												<TD style="HEIGHT: 29px" class="smallfieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Postal:&nbsp;</TD>
												<TD style="HEIGHT: 29px">
													<input name="TextBoxPostalCA" type="text" value="560331" maxlength="10" id="TextBoxPostalCA" class="UpperCaseTextbox" /></TD>
											</TR>
											<TR>
												<TD style="HEIGHT: 3px"></TD>
												<TD colSpan="3"></TD>
											</TR>
											<TR>
												<TD class="smallfieldname" noWrap></TD>
												<TD colSpan="3">Click <A onclick="PostValueCA();" href="#this"><U>here</U></A> to 
													see your address layout</TD>
											</TR>
											<TR>
												<TD style="HEIGHT: 3px"></TD>
												<TD colSpan="3"></TD>
											</TR>
											<TR>
												<TD class="smallfieldname" style="WIDTH: 149px" noWrap>Telephone No.:&nbsp;</TD>
												<TD colSpan="3"><input name="TextBoxTelCounCA" type="text" maxlength="3" readonly="readonly" id="TextBoxTelCounCA" class="textbox" />&nbsp;&nbsp;
													<input name="TextBoxTelAreaCA" type="text" maxlength="4" readonly="readonly" id="TextBoxTelAreaCA" class="textbox" />&nbsp;&nbsp;
													<input name="TextBoxTelNumCA" type="text" maxlength="15" id="TextBoxTelNumCA" class="textbox" />&nbsp;&nbsp;
													<input name="TextboxTelExtCA" type="text" maxlength="5" id="TextboxTelExtCA" class="textbox" /></TD>
											</TR>
											<TR>
												<TD>&nbsp;</TD>
												<TD align="left" colSpan="3">(Country)&nbsp;&nbsp;&nbsp;&nbsp;(Area)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Number)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Ext)</TD>
											</TR>
										
										<TR>
											<TD style="HEIGHT: 20px"></TD>
											<TD colSpan="3"></TD>
										</TR>
										<tr>
											<td colSpan="10">
												<table class="zeropadtableBoxed" width="100%">
													<TR>
														<TD class="fieldname" style="WIDTH: 149px" noWrap>&nbsp;&nbsp; Contact:&nbsp;
														</TD>
														<TD class="noteBody" colSpan="3"><I>(Please provide at least one of the telephone 
																numbers.)
																</I></TD>
													</TR>
													<TR>
														<TD class="smallfieldname" style="WIDTH: 149px; HEIGHT: 34px" noWrap>Mobile 
															No.:&nbsp;</TD>
														<TD style="WIDTH: 269px; HEIGHT: 34px"><input name="TextBoxMobileCounC" type="text" maxlength="3" id="TextBoxMobileCounC" class="textbox" />
															
															&nbsp;&nbsp;<input name="TextBoxMobileNoC" type="text" value="94787797" maxlength="15" id="TextBoxMobileNoC" class="textbox" />
															
															</TD>
														<TD class="smallfieldname" noWrap style="HEIGHT: 34px"><SPAN style="COLOR: green">+</SPAN>Pager 
															No.:&nbsp;</TD>
														<TD style="HEIGHT: 34px"><input name="TextBoxPagerNoC" type="text" maxlength="50" id="TextBoxPagerNoC" class="textbox" /></TD>
													</TR>
													<TR class="smallestfieldvalue">
														<TD>&nbsp;</TD>
														<TD align="left" colSpan="3">(Country)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Number)</TD>
													</TR>
													<TR>
														<TD class="smallfieldname" style="WIDTH: 149px" noWrap><SPAN style="COLOR: green">+</SPAN>Office 
															Telephone No.:&nbsp;</TD>
														<TD><input name="TextBoxOfficeTelNoC" type="text" maxlength="15" id="TextBoxOfficeTelNoC" class="textbox" />&nbsp;<SPAN class="smallfieldname">(Ext)</SPAN>
															<input name="TextBoxOfficeTelExtC" type="text" maxlength="5" id="TextBoxOfficeTelExtC" class="textbox" /></TD>
														<TD class="smallfieldname" noWrap><SPAN style="COLOR: green">+</SPAN>Fax:&nbsp;</TD>
														<TD class="smallfieldnote"><input name="TextBoxFaxC" type="text" maxlength="15" id="TextBoxFaxC" class="textbox" /></TD>
													</TR>
													<TR>
														<TD class="fieldname" style="WIDTH: 149px" noWrap>Personal Email:&nbsp;</TD>
														<TD class="smallfieldnote" style="WIDTH: 269px"><input name="TextBoxEmailC" type="text" value="babeyeemon@hotmail.com" maxlength="40" id="TextBoxEmailC" class="textbox" /></TD>
														<TD class="smallfieldname" style="HEIGHT: 29px" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Internet 
															Access:&nbsp;</TD>
														<TD style="WIDTH: 269px; HEIGHT: 29px">
															<select name="DropDownListAccess" id="DropDownListAccess" class="list">
	<option value="">-- Select One --</option>
	<option value="0">No</option>
	<option selected="selected" value="2">Yes with broadband</option>
	<option value="1">Yes with dial-up</option>

</select>
															</TD>
													</TR>
												</table>
											</td>
										</tr>
										
											<TR>
												<TD colSpan="4">&nbsp;</TD>
											</TR>
											<TR>
												<TD class="sectionhead" width="100%" colSpan="4">Parents' Information</TD>
											</TR>
											<TR>
												<TD class="resultTableHead">Father</TD>
												<TD class="resultTableHead" colSpan="3"><SPAN class="smallfieldnote">
														<span class="resultTableHeadNote"><input id="CheckBoxFather" type="checkbox" name="CheckBoxFather" checked="checked" onclick="__doPostBack('CheckBoxFather','')" language="javascript" /></span>If 
														the person is deceased or uncontactable (e.g. due to parent separation), tick 
														this box and leave all &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;fields BLANK. </SPAN>
												</TD>
											</TR>
											
											<TR>
												<TD class="resultTableHead">Mother</TD>
												<TD class="resultTableHead" colSpan="3"><SPAN class="smallfieldnote">
														<span class="resultTableHeadNote"><input id="CheckBoxMother" type="checkbox" name="CheckBoxMother" onclick="__doPostBack('CheckBoxMother','')" language="javascript" /></span>If 
														the person is deceased or uncontactable (e.g. due to parent separation), tick 
														this box and leave all &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;fields BLANK.</SPAN></TD>
											</TR>
											
												<TR WIDTH="100%">
													<TD class="fieldname" width="20%" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Name:&nbsp;</TD>
													<TD class="smallfieldvalue" width="80%" colSpan="3" noWrap><SPAN class="smallfieldname">Ms.</SPAN>
														<input name="TextBoxMotherName" type="text" value="DAW NILAR SHWE" maxlength="60" id="TextBoxMotherName" class="textbox" style="TEXT-TRANSFORM: uppercase" /></TD>
												</TR>
												<TR>
													<TD class="fieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Citizenship:&nbsp;</TD>
													<TD colSpan="3">
														<select name="DropDownListMotherCiti" onchange="__doPostBack('DropDownListMotherCiti','')" language="javascript" id="DropDownListMotherCiti" class="list">
	<option value="">-- Select One --</option>
	<option value="D">Bangladeshi</option>
	<option value="8">Bruneian</option>
	<option value="C">Cambodian</option>
	<option value="A">Chinese</option>
	<option value="6">Filipino</option>
	<option value="N">Finnish</option>
	<option value="P">French</option>
	<option value="G">Ghana Citizen</option>
	<option value="R">Hong Kong</option>
	<option value="7">Indian</option>
	<option value="4">Indonesian</option>
	<option value="J">Japanese</option>
	<option value="T">Korean, South</option>
	<option value="S">Laotian</option>
	<option value="3">Malaysian</option>
	<option value="Q">Maldivian</option>
	<option value="M">Mauritian</option>
	<option selected="selected" value="9">Myanmar</option>
	<option value="E">Nepalese</option>
	<option value="I">Nigerian</option>
	<option value="0">Others</option>
	<option value="H">Pakistani</option>
	<option value="1">Singapore Citizen</option>
	<option value="2">Singapore PR</option>
	<option value="F">Sri Lankan</option>
	<option value="V">Stateless</option>
	<option value="U">Status Undeclared</option>
	<option value="L">Taiwanese</option>
	<option value="5">Thai</option>
	<option value="K">Turk</option>
	<option value="B">Vietnamese</option>

</select></TD>
												</TR>
												<TR>
													<TD class="fieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>NRIC/Passport 
														No.:&nbsp;</TD>
													<TD colSpan="3">
														<input name="TextBoxMotherNric" type="text" value="7/PMN(N) 026307" maxlength="25" id="TextBoxMotherNric" class="textbox" style="TEXT-TRANSFORM: uppercase" /></TD>
												</TR>
												<TR>
													<TD class="fieldname" noWrap>FIN:&nbsp;</TD>
													<TD class="smallfieldnote" colSpan="3">
														<input name="TextBoxMotherFIN" type="text" maxlength="10" id="TextBoxMotherFIN" class="textbox" style="TEXT-TRANSFORM: uppercase" /></TD>
												</TR>
												<TR>
													<TD class="fieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Marital 
														Status:&nbsp;</TD>
													<TD colSpan="3">
														<select name="DropDownListMotherMarital" id="DropDownListMotherMarital" class="list">
	<option value="">-- Select One --</option>
	<option value="V">Divorced</option>
	<option value="M">Married</option>
	<option value="P">Separated</option>
	<option value="S">Single</option>
	<option selected="selected" value="W">Widowed</option>

</select></TD>
												</TR>
												<TR>
													<TD class="fieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Occupation:&nbsp;</TD>
													<TD colSpan="3">
														<select name="DropDownListMotherOccu" id="DropDownListMotherOccu" class="list">
	<option value="">-- Select One --</option>
	<option value="08">Clerical</option>
	<option value="03">Full time student</option>
	<option value="02">Housewife</option>
	<option value="09">Management/Administration</option>
	<option selected="selected" value="05">Professional</option>
	<option value="10">Retired</option>
	<option value="07">Sales</option>
	<option value="01">Self-employed</option>
	<option value="06">Technical</option>
	<option value="04">Unemployed</option>
	<option value="U">Unknown</option>

</select></TD>
												</TR>
												<TR>
													<TD class="fieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Highest 
														Qualification:&nbsp;</TD>
													<TD class="smallfieldnote" colSpan="3" align="left">
														<select name="DropDownListMotherHighQual" id="DropDownListMotherHighQual" class="list">
	<option value="">-- Select One --</option>
	<option value="2200">Advance Diploma</option>
	<option value="0004">Below PSLE</option>
	<option value="3000">Degree</option>
	<option value="3200">Degree (with Honours)</option>
	<option value="3100">Degree (with Merit)  </option>
	<option selected="selected" value="2000">Diploma</option>
	<option value="5000">Doctorate (PHD)</option>
	<option value="1800">GCE 'A' Level</option>
	<option value="1002">GCE 'N' Level</option>
	<option value="1000">GCE 'O' Level</option>
	<option value="2300">Graduate Diploma</option>
	<option value="1400">Higher Certificates</option>
	<option value="2100">Higher Diploma</option>
	<option value="4000">MASTERS Degree</option>
	<option value="0000">No Education</option>
	<option value="1500">Other Certificates</option>
	<option value="2400">Other Diploma</option>
	<option value="9999">Others</option>
	<option value="0005">PSLE</option>
	<option value="1003">Singapore Secondary School-Based Results</option>
	<option value="1001">SPM</option>
	<option value="1801">STPM</option>
	<option value="1200">VITB/ITE Certificates</option>

</select></TD>
												</TR>
												<TR>
													<TD class="fieldhead" colSpan="4"><SPAN style="COLOR: #ff0000">*</SPAN>Correspondence 
														Address:&nbsp;</TD>
												</TR>
												<TR>
													<TD class="smallfieldname" noWrap>House/Block No.:&nbsp;</TD>
													<TD style="WIDTH: 269px">
														<input name="TextBoxMotherHouseBlk" type="text" value="335" maxlength="10" id="TextBoxMotherHouseBlk" class="UpperCaseTextBox" style="TEXT-TRANSFORM: uppercase" /></TD>
													<TD class="smallfieldname" noWrap>Unit No.:&nbsp;</TD>
													<TD style="WHITE-SPACE: nowrap" class="smallfieldvalue">
														<input name="TextBoxMotherUnitNo" type="text" value="02-1871" maxlength="10" id="TextBoxMotherUnitNo" class="UpperCaseTextBox" />(Eg 
														# 11-399 or 11/F B)</TD>
												</TR>
												<TR>
													<TD class="smallfieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Street 
														Name:&nbsp;</TD>
													<TD colSpan="3">
														<input name="TextBoxMotherStreet1" type="text" value="MERCHANT STREET," maxlength="30" id="TextBoxMotherStreet1" class="UpperCaseTextBox" /></TD>
												</TR>
												<TR>
													<TD class="smallfieldname" noWrap></TD>
													<TD style="WIDTH: 269px">
														<input name="TextBoxmotherStreet2" type="text" value="KYAUNGGYI WARD" maxlength="30" id="TextBoxmotherStreet2" class="UpperCaseTextBox" /></TD>
												</TR>
												<TR>
													<TD class="smallfieldname" noWrap><FONT face="ËÎÌå"></FONT></TD>
													<TD colSpan="3">
														<input name="TextBoxMotherStreet3" type="text" value="PYAY" maxlength="30" id="TextBoxMotherStreet3" class="UpperCaseTextBox" /></TD>
												</TR>
												<TR>
													<TD class="smallfieldname" noWrap>State/Province:&nbsp;</TD>
													<TD style="WIDTH: 269px">
														<input name="TextBoxmotherState" type="text" maxlength="30" id="TextBoxmotherState" class="UpperCaseTextBox" /></TD>
													<TD colSpan="3" align="left">(for foreign address only)</TD>
												</TR>
												<TR>
													<TD class="smallfieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Country:&nbsp;</TD>
													<TD style="WIDTH: 269px">
														<select name="DropDownListmotherCountry" onchange="__doPostBack('DropDownListmotherCountry','')" language="javascript" id="DropDownListmotherCountry" class="list">
	<option value="">-- Select One --</option>
	<option value="AF">AFGHANISTAN(ISLAMIC ST.</option>
	<option value="AA">AFRICA</option>
	<option value="AL">ALBANIA</option>
	<option value="DZ">ALGERIA</option>
	<option value="AB">AMERICAN COUNTRIES</option>
	<option value="AS">AMERICAN SAMOA</option>
	<option value="AD">ANDORRA</option>
	<option value="AO">ANGOLA (REPUBLIC OF)</option>
	<option value="AI">ANGUILLA</option>
	<option value="AQ">ANTARCTICA</option>
	<option value="AG">ANTIGUA</option>
	<option value="AR">ARGENTINA</option>
	<option value="AM">ARMENIA</option>
	<option value="AW">ARUBA</option>
	<option value="AC">ASCENSION ISLAND</option>
	<option value="AU">AUSTRALIA</option>
	<option value="AT">AUSTRIA</option>
	<option value="AZ">AZERBAIDJAN</option>
	<option value="BS">BAHAMAS</option>
	<option value="BH">BAHRAIN</option>
	<option value="BD">BANGLADESH</option>
	<option value="BB">BARBADOS</option>
	<option value="BY">BELARUS</option>
	<option value="BE">BELGIUM</option>
	<option value="BZ">BELIZE</option>
	<option value="BJ">BENIN</option>
	<option value="BM">BERMUDA</option>
	<option value="BT">BHUTAN</option>
	<option value="BO">BOLIVIA</option>
	<option value="BA">BOSNIA-HERZEGOVINA</option>
	<option value="BW">BOTSWANA</option>
	<option value="BV">BOUVET ISLAND</option>
	<option value="BR">BRAZIL</option>
	<option value="IO">BRITISH INDIAN O. TER.</option>
	<option value="BN">BRUNEI DARUSSALAM</option>
	<option value="BG">BULGARIA</option>
	<option value="BF">BURKINA FASO</option>
	<option value="BI">BURUNDI</option>
	<option value="KH">CAMBODIA</option>
	<option value="CM">CAMEROON</option>
	<option value="CA">CANADA</option>
	<option value="CV">CAPE VERDE</option>
	<option value="KY">CAYMAN ISLANDS</option>
	<option value="CF">CENTRAL AFRICAN REP.</option>
	<option value="TD">CHAD</option>
	<option value="CL">CHILE</option>
	<option value="CN">CHINA</option>
	<option value="HK">CHINA, HONG KONG</option>
	<option value="MO">CHINA, MACAU</option>
	<option value="TW">CHINA, TAIWAN</option>
	<option value="CX">CHRISTMAS ISLAND</option>
	<option value="CC">COCOS (KEELING) ISL.</option>
	<option value="CO">COLOMBIA</option>
	<option value="KM">COMOROS</option>
	<option value="CG">CONGO</option>
	<option value="CK">COOK ISLANDS</option>
	<option value="CR">COSTA RICA</option>
	<option value="HR">CROATIA</option>
	<option value="CU">CUBA</option>
	<option value="CY">CYPRUS</option>
	<option value="CZ">CZECH REPUBLIC</option>
	<option value="CS">CZECHOSLOVAKIA</option>
	<option value="DK">DENMARK</option>
	<option value="DJ">DJIBOUTI</option>
	<option value="DM">DOMINICA</option>
	<option value="DO">DOMINICAN REPUBLIC</option>
	<option value="TP">EAST TIMOR</option>
	<option value="EC">ECUADOR</option>
	<option value="EG">EGYPT</option>
	<option value="SV">EL SALVADOR</option>
	<option value="GQ">EQUATORIAL GUINEA</option>
	<option value="ER">ERITREA</option>
	<option value="EE">ESTONIA</option>
	<option value="ET">ETHIOPIA</option>
	<option value="EO">EUROPE</option>
	<option value="FK">FALKLAND ISL.(MALVINAS)</option>
	<option value="FO">FAROE ISLANDS</option>
	<option value="FJ">FIJI</option>
	<option value="FI">FINLAND</option>
	<option value="FR">FRANCE</option>
	<option value="TF">FRENCH SOUTHERN TERR.</option>
	<option value="GA">GABON</option>
	<option value="GM">GAMBIA</option>
	<option value="GE">GEORGIA</option>
	<option value="DE">GERMANY</option>
	<option value="GH">GHANA</option>
	<option value="GI">GIBRALTAR</option>
	<option value="GB">GREAT BRITAIN (UK)</option>
	<option value="GR">GREECE</option>
	<option value="GL">GREENLAND</option>
	<option value="GD">GRENADA</option>
	<option value="GP">GUADELOUPE (FR.)</option>
	<option value="GU">GUAM (US)</option>
	<option value="GT">GUATEMALA</option>
	<option value="GK">GUERNSEY</option>
	<option value="GG">GUERNSEY  (CH. ISL.)</option>
	<option value="GF">GUIANA (FR.)</option>
	<option value="GN">GUINEA</option>
	<option value="GW">GUINEA BISSAU</option>
	<option value="GY">GUYANA</option>
	<option value="HT">HAITI</option>
	<option value="HM">HEARD &amp; MCDONALD ISL.</option>
	<option value="HN">HONDURAS</option>
	<option value="HU">HUNGARY</option>
	<option value="IS">ICELANDIC</option>
	<option value="IN">INDIA</option>
	<option value="ID">INDONESIA</option>
	<option value="IR">IRAN</option>
	<option value="IQ">IRAQ</option>
	<option value="IE">IRELAND</option>
	<option value="IM">ISLE OF MAN</option>
	<option value="IL">ISRAEL</option>
	<option value="IT">ITALY</option>
	<option value="CI">IVORY COAST</option>
	<option value="JM">JAMAICA</option>
	<option value="JP">JAPAN</option>
	<option value="JE">JERSEY (CH. ISL.)</option>
	<option value="JO">JORDAN</option>
	<option value="KZ">KAZAKSTAN</option>
	<option value="KE">KENYA</option>
	<option value="KI">KIRIBATI</option>
	<option value="KP">KOREA (NORTH)</option>
	<option value="KR">KOREA (SOUTH)</option>
	<option value="KW">KUWAIT</option>
	<option value="KG">KYRGYZ REPUBLIC</option>
	<option value="LA">LAOS</option>
	<option value="LV">LATVIA</option>
	<option value="LB">LEBANON</option>
	<option value="LS">LESOTHO</option>
	<option value="LR">LIBERIA</option>
	<option value="LY">LIBYA</option>
	<option value="LI">LIECHTENSTEIN</option>
	<option value="LT">LITHUANIA</option>
	<option value="LU">LUXEMBOURG</option>
	<option value="MK">MACEDONIA (FORMER YUG.)</option>
	<option value="MG">MADAGASCAR</option>
	<option value="MW">MALAWI</option>
	<option value="MY">MALAYSIA</option>
	<option value="MV">MALDIVES</option>
	<option value="ML">MALI</option>
	<option value="MT">MALTA</option>
	<option value="MH">MARSHALL ISLANDS</option>
	<option value="MQ">MARTINIQUE (FR.)</option>
	<option value="MR">MAURITANIA</option>
	<option value="MU">MAURITIUS</option>
	<option value="YT">MAYOTTE</option>
	<option value="MX">MEXICO</option>
	<option value="FM">MICRONESIA</option>
	<option value="MD">MOLDOVA</option>
	<option value="MC">MONACO</option>
	<option value="MN">MONGOLIA</option>
	<option value="MS">MONTSERRAT</option>
	<option value="MA">MOROCCO</option>
	<option value="MZ">MOZAMBIQUE</option>
	<option selected="selected" value="MM">MYANMAR</option>
	<option value="NA">NAMIBIA</option>
	<option value="NR">NAURU</option>
	<option value="NP">NEPAL</option>
	<option value="AN">NETHERLAND ANTILLES</option>
	<option value="NL">NETHERLANDS</option>
	<option value="NC">NEW CALEDONIA (FR.)</option>
	<option value="NZ">NEW ZEALAND</option>
	<option value="NI">NICARAGUA</option>
	<option value="NE">NIGER</option>
	<option value="NG">NIGERIA</option>
	<option value="NU">NIUE</option>
	<option value="NF">NORFOLK ISLAND</option>
	<option value="MP">NORTHERN MARIANA ISL.</option>
	<option value="NO">NORWAY</option>
	<option value="OM">OMAN</option>
	<option value="PK">PAKISTAN</option>
	<option value="PW">PALAU</option>
	<option value="PS">PALESTINIAN</option>
	<option value="PA">PANAMA</option>
	<option value="PG">PAPUA NEW GUINEA</option>
	<option value="PY">PARAGUAY</option>
	<option value="PE">PERU</option>
	<option value="PH">PHILIPPINES</option>
	<option value="PI">PITCAIRN</option>
	<option value="PL">POLAND</option>
	<option value="PF">POLYNESIA (FR.)</option>
	<option value="PT">PORTUGAL</option>
	<option value="PR">PUERTO RICO (US)</option>
	<option value="QA">QATAR</option>
	<option value="CD">REP. DEM. CONGO</option>
	<option value="RE">REUNION (FR.)</option>
	<option value="RO">ROMANIA</option>
	<option value="RU">RUSSIAN FEDERATION</option>
	<option value="RW">RWANDA</option>
	<option value="LC">SAINT LUCIA</option>
	<option value="SM">SAN MARINO</option>
	<option value="SA">SAUDI ARABIA</option>
	<option value="SN">SENEGAL</option>
	<option value="RS">SERBIA</option>
	<option value="SC">SEYCHELLES</option>
	<option value="SL">SIERRA LEONE</option>
	<option value="SG">SINGAPORE</option>
	<option value="SK">SLOVAK REPUBLIC</option>
	<option value="SI">SLOVENIA</option>
	<option value="SB">SOLOMON ISLANDS</option>
	<option value="SO">SOMALIA</option>
	<option value="WM">SOMOA</option>
	<option value="ZA">SOUTH AFRICA</option>
	<option value="GS">SOUTH GEORGIA  AND SOUTH SANDWICH ISLANDS</option>
	<option value="SU">SOVIET UNION</option>
	<option value="ES">SPAIN</option>
	<option value="LK">SRI LANKA</option>
	<option value="SH">ST. HELENA</option>
	<option value="PM">ST. PIERRE &amp; MIQUELON</option>
	<option value="ST">ST. TOME AND PRINCIPE</option>
	<option value="KN">ST.KITTS NEVIS ANG.   P</option>
	<option value="VC">ST.VINCENT &amp; GRENADINES</option>
	<option value="SD">SUDAN</option>
	<option value="SR">SURINAME</option>
	<option value="SJ">SVALBARD &amp; JAN MAYEN IS</option>
	<option value="SZ">SWAZILAND</option>
	<option value="SE">SWEDEN</option>
	<option value="CH">SWITZERLAND</option>
	<option value="SY">SYRIA</option>
	<option value="TJ">TADJIKISTAN</option>
	<option value="TZ">TANZANIA</option>
	<option value="TH">THAILAND</option>
	<option value="TG">TOGO</option>
	<option value="TK">TOKELAU</option>
	<option value="TO">TONGA</option>
	<option value="TT">TRINIDAD &amp; TOBAGO</option>
	<option value="TN">TUNISIA</option>
	<option value="TR">TURKEY</option>
	<option value="TM">TURKMENISTAN</option>
	<option value="TC">TURKS &amp; CAICOS ISLANDS</option>
	<option value="TV">TUVALU</option>
	<option value="UG">UGANDA</option>
	<option value="UA">UKRAINE</option>
	<option value="AE">UNITED ARAB EMIRATES</option>
	<option value="UK">UNITED KINGDOM</option>
	<option value="US">UNITED STATES</option>
	<option value="UY">URUGUAY</option>
	<option value="UM">US MINOR OUTLYING ISL.</option>
	<option value="UZ">UZBEKISTAN</option>
	<option value="VU">VANUATU</option>
	<option value="VA">VATICAN CITY STATE</option>
	<option value="VE">VENEZUELA</option>
	<option value="VN">VIETNAM</option>
	<option value="VG">VIRGIN ISLANDS (BRIT)</option>
	<option value="VI">VIRGIN ISLANDS (US)</option>
	<option value="WF">WALLIS &amp; FUTUNA ISLANDS</option>
	<option value="EH">WESTERN SAHARA</option>
	<option value="YE">YEMEN</option>
	<option value="YU">YUGOSLAVIA</option>
	<option value="ZM">ZAMBIA</option>
	<option value="ZW">ZIMBABWE</option>

</select></TD>
													<TD class="smallfieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Postal:&nbsp;</TD>
													<TD>
														<input name="TextBoxMotherPostal" type="text" value="0" maxlength="10" id="TextBoxMotherPostal" class="UpperCaseTextbox" /></TD>
												</TR>
												<TR>
													<TD style="HEIGHT: 2px"></TD>
													<TD colSpan="3"></TD>
												</TR>
												<TR>
													<TD class="smallfieldname" noWrap></TD>
													<TD colSpan="3">Click <A onclick="PostValueMother();" href="#this"><U>here</U></A> to 
														see your address layout</TD>
												</TR>
												<TR>
													<TD style="HEIGHT: 20px"></TD>
													<TD colSpan="3"></TD>
												</TR>
												<TR>
													<TD colSpan="10">
														<TABLE class="zeropadtableBoxed" width="100%">
															<TR>
																<TD style="WIDTH: 148px" class="fieldname" noWrap>Contact:&nbsp;
																</TD>
																<TD class="noteBody" colSpan="3"><I>(Please provide at least one of the telephone 
																		numbers.)
																		</I></TD>
															</TR>
															<TR>
																<TD style="WIDTH: 148px" class="smallfieldname" noWrap>Telephone No.:&nbsp;</TD>
																<TD colSpan="3">
																	<input name="TextBoxMotherTelCoun" type="text" value="95" maxlength="3" id="TextBoxMotherTelCoun" class="textbox" />&nbsp;&nbsp;
																	<input name="TextBoxMotherTelArea" type="text" maxlength="4" id="TextBoxMotherTelArea" class="textbox" />&nbsp;&nbsp;
																	<input name="TextBoxMotherTelNo" type="text" value="05325551" maxlength="15" id="TextBoxMotherTelNo" class="textbox" />&nbsp;&nbsp;
																	<input name="TextboxMotherTelExt" type="text" maxlength="5" id="TextboxMotherTelExt" class="textbox" /></TD>
															</TR>
															<TR>
																<TD style="WIDTH: 148px">&nbsp;</TD>
																<TD colSpan="3">(Country)&nbsp;&nbsp;&nbsp;&nbsp;(Area)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Number)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Ext)</TD>
															</TR>
															<TR>
																<TD style="WIDTH: 148px" class="smallfieldname" noWrap>Mobile No.:&nbsp;</TD>
																<TD colSpan="3">
																	<input name="TextBoxMotherMobileCoun" type="text" maxlength="3" id="TextBoxMotherMobileCoun" class="textbox" />&nbsp;&nbsp;
																	<input name="TextBoxMotherMobileNo" type="text" maxlength="15" id="TextBoxMotherMobileNo" class="textbox" /></TD>
															</TR>
															<TR>
																<TD style="WIDTH: 148px">&nbsp;</TD>
																<TD colSpan="3">(Country)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Number)</TD>
															</TR>
															<TR>
																<TD style="WIDTH: 148px" class="smallfieldname" noWrap><SPAN style="COLOR: green">+</SPAN>Office 
																	Telephone No.:&nbsp;</TD>
																<TD style="WIDTH: 269px" class="smallfieldvalue">
																	<input name="TextBoxmotherOfficeNo" type="text" maxlength="15" id="TextBoxmotherOfficeNo" class="textbox" />&nbsp;<SPAN class="smallfieldname">(Ext)</SPAN>
																	<input name="TextBoxMotherOfficeExt" type="text" maxlength="5" id="TextBoxMotherOfficeExt" class="textbox" /></TD>
																<TD class="smallfieldname" noWrap><SPAN style="COLOR: green">+</SPAN>Pager 
																	No.:&nbsp;</TD>
																<TD>
																	<input name="TextBoxmotherPagerNo" type="text" maxlength="50" id="TextBoxmotherPagerNo" class="textbox" /></TD>
															</TR>
															<TR>
																<TD style="WIDTH: 148px" class="smallfieldname" noWrap>Email:&nbsp;</TD>
																<TD style="WIDTH: 269px" class="smallfieldnote">
																	<input name="TextBoxmotherEmail" type="text" maxlength="40" id="TextBoxmotherEmail" class="textbox" /></TD>
																<TD class="smallfieldname" noWrap><SPAN style="COLOR: green">+</SPAN>Fax:&nbsp;</TD>
																<TD class="smallfieldnote" align="left">
																	<input name="TextboxMotherFax" type="text" maxlength="15" id="TextboxMotherFax" class="textbox" /></TD>
															</TR>
														</TABLE>
													</TD>
												</TR>
											
										<TR>
											<TD colSpan="4">&nbsp;</TD>
										</TR>
										<TR>
											<TD class="sectionhead" width="100%" colSpan="4">Emergency Contact</TD>
										</TR>
										<TR class="resultTableHead">
											<TD class="resultTableHead">Emergency Contact</TD>
											<TD class="resultTableHeadNote" align="left" colSpan="3">Preferably to be above 21 
												years old and residing in Singapore</TD>
										</TR>
										<TR>
											<TD class="fieldname" noWrap width="20%"><SPAN style="COLOR: #ff0000">*</SPAN>Relationship:&nbsp;</TD>
											<TD class="smallfieldvalue" width="80%" colSpan="3"><select name="DropDownListRelationEC" onchange="__doPostBack('DropDownListRelationEC','')" language="javascript" id="DropDownListRelationEC" class="list">
	<option value="">-- Select One --</option>
	<option selected="selected" value="G">Guardian</option>
	<option value="M">Mother</option>
	<option value="S">Spouse</option>

</select></TD>
										</TR>
										
											<TR WIDTH="100%">
												<TD class="fieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Name:&nbsp;</TD>
												<TD class="smallfieldnote" colSpan="3" align="left">
													<select name="DropDownListNameEC" onchange="__doPostBack('DropDownListNameEC','')" language="javascript" id="DropDownListNameEC" class="list">
	<option value="">-- Select One --</option>
	<option value="08">A/Prof</option>
	<option value="05">Dr</option>
	<option value="07">Er</option>
	<option value="04">Mdm</option>
	<option selected="selected" value="03">Miss</option>
	<option value="01">Mr</option>
	<option value="02">Mrs</option>
	<option value="06">Ms</option>
	<option value="09">Prof</option>

</select>&nbsp;&nbsp;
													<input name="TextBoxNameEC" type="text" value="SU MON MIN AUNG" maxlength="60" id="TextBoxNameEC" class="textbox" style="TEXT-TRANSFORM: uppercase" /></TD>
											</TR>
											<TR>
												<TD class="fieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Gender:&nbsp;</TD>
												<TD colSpan="3">
													<select name="DropdownlistGenderEC" id="DropdownlistGenderEC" disabled="disabled" class="list">
	<option value=""></option>
	<option selected="selected" value="F">Female</option>
	<option value="M">Male</option>

</select></TD>
											</TR>
											<TR>
												<TD class="fieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Citizenship:&nbsp;</TD>
												<TD colSpan="3">
													<select name="DropDownListCitiEC" onchange="__doPostBack('DropDownListCitiEC','')" language="javascript" id="DropDownListCitiEC" class="list">
	<option value="">-- Select One --</option>
	<option value="D">Bangladeshi</option>
	<option value="8">Bruneian</option>
	<option value="C">Cambodian</option>
	<option value="A">Chinese</option>
	<option value="6">Filipino</option>
	<option value="N">Finnish</option>
	<option value="P">French</option>
	<option value="G">Ghana Citizen</option>
	<option value="R">Hong Kong</option>
	<option value="7">Indian</option>
	<option value="4">Indonesian</option>
	<option value="J">Japanese</option>
	<option value="T">Korean, South</option>
	<option value="S">Laotian</option>
	<option value="3">Malaysian</option>
	<option value="Q">Maldivian</option>
	<option value="M">Mauritian</option>
	<option selected="selected" value="9">Myanmar</option>
	<option value="E">Nepalese</option>
	<option value="I">Nigerian</option>
	<option value="0">Others</option>
	<option value="H">Pakistani</option>
	<option value="1">Singapore Citizen</option>
	<option value="2">Singapore PR</option>
	<option value="F">Sri Lankan</option>
	<option value="V">Stateless</option>
	<option value="U">Status Undeclared</option>
	<option value="L">Taiwanese</option>
	<option value="5">Thai</option>
	<option value="K">Turk</option>
	<option value="B">Vietnamese</option>

</select></TD>
											</TR>
											<TR>
												<TD class="fieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>NRIC/Passport 
													No.:&nbsp;</TD>
												<TD colSpan="3">
													<input name="TextBoxNricEC" type="text" value="731949" maxlength="25" id="TextBoxNricEC" class="textbox" style="TEXT-TRANSFORM: uppercase" /></TD>
											</TR>
											<TR>
												<TD class="fieldname" noWrap>FIN:&nbsp;</TD>
												<TD colSpan="3">
													<input name="TextBoxFinEC" type="text" value="G3518237W" maxlength="10" id="TextBoxFinEC" class="textbox" style="TEXT-TRANSFORM: uppercase" /></TD>
											</TR>
											<TR>
												<TD class="fieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Marital 
													Status:&nbsp;</TD>
												<TD colSpan="3">
													<select name="DropDownListMaritalEC" id="DropDownListMaritalEC" class="list">
	<option value="">-- Select One --</option>
	<option value="V">Divorced</option>
	<option value="M">Married</option>
	<option value="P">Separated</option>
	<option selected="selected" value="S">Single</option>
	<option value="W">Widowed</option>

</select></TD>
											</TR>
											<TR>
												<TD class="fieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Occupation:&nbsp;</TD>
												<TD colSpan="3">
													<select name="DropDownListOccuEC" id="DropDownListOccuEC" class="list">
	<option value="">-- Select One --</option>
	<option value="08">Clerical</option>
	<option value="03">Full time student</option>
	<option value="02">Housewife</option>
	<option value="09">Management/Administration</option>
	<option selected="selected" value="05">Professional</option>
	<option value="10">Retired</option>
	<option value="07">Sales</option>
	<option value="01">Self-employed</option>
	<option value="06">Technical</option>
	<option value="04">Unemployed</option>
	<option value="U">Unknown</option>

</select></TD>
											</TR>
											<TR>
												<TD class="fieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Highest 
													Qualification:&nbsp;</TD>
												<TD class="smallfieldnote" colSpan="3">
													<select name="DropDownListHighQualEC" id="DropDownListHighQualEC" class="list">
	<option value="">-- Select One --</option>
	<option value="2200">Advance Diploma</option>
	<option value="0004">Below PSLE</option>
	<option value="3000">Degree</option>
	<option value="3200">Degree (with Honours)</option>
	<option value="3100">Degree (with Merit)  </option>
	<option selected="selected" value="2000">Diploma</option>
	<option value="5000">Doctorate (PHD)</option>
	<option value="1800">GCE 'A' Level</option>
	<option value="1002">GCE 'N' Level</option>
	<option value="1000">GCE 'O' Level</option>
	<option value="2300">Graduate Diploma</option>
	<option value="1400">Higher Certificates</option>
	<option value="2100">Higher Diploma</option>
	<option value="4000">MASTERS Degree</option>
	<option value="0000">No Education</option>
	<option value="1500">Other Certificates</option>
	<option value="2400">Other Diploma</option>
	<option value="9999">Others</option>
	<option value="0005">PSLE</option>
	<option value="1003">Singapore Secondary School-Based Results</option>
	<option value="1001">SPM</option>
	<option value="1801">STPM</option>
	<option value="1200">VITB/ITE Certificates</option>

</select></TD>
											</TR>
											<TR>
												<TD class="fieldhead" colSpan="4" align="left"><SPAN style="COLOR: #ff0000">*</SPAN>Correspondence 
													Address:&nbsp;</TD>
											</TR>
											<TR>
												<TD class="smallfieldname" noWrap>House/Block No.:&nbsp;</TD>
												<TD style="WIDTH: 269px">
													<input name="TextBoxHouseBlkEC" type="text" value="331" maxlength="10" id="TextBoxHouseBlkEC" class="UpperCaseTextBox" style="TEXT-TRANSFORM: uppercase" /></TD>
												<TD class="smallfieldname" noWrap>Unit No.:&nbsp;</TD>
												<TD style="WHITE-SPACE: nowrap" class="smallfieldvalue">
													<input name="TextBoxUnitNoEC" type="text" value="02-1871" maxlength="10" id="TextBoxUnitNoEC" class="UpperCaseTextBox" />(Eg 
													# 11-399 or 11/F B)</TD>
											</TR>
											<TR>
												<TD class="smallfieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Street 
													Name:&nbsp;</TD>
												<TD colSpan="3">
													<input name="TextBoxStreet1EC" type="text" value="ANG MO KIO AVE 1" maxlength="30" id="TextBoxStreet1EC" class="UpperCaseTextBox" /></TD>
											</TR>
											<TR>
												<TD class="smallfieldname" noWrap></TD>
												<TD style="WIDTH: 269px">
													<input name="TextBoxStreet2EC" type="text" maxlength="30" id="TextBoxStreet2EC" class="UpperCaseTextBox" /></TD>
											</TR>
											<TR>
												<TD class="smallfieldname" noWrap></TD>
												<TD colSpan="3">
													<input name="TextBoxStreet3EC" type="text" maxlength="30" id="TextBoxStreet3EC" class="UpperCaseTextBox" /></TD>
											</TR>
											<TR>
												<TD class="smallfieldname" noWrap>State/Province:&nbsp;</TD>
												<TD style="WIDTH: 269px">
													<input name="TextBoxStateEC" type="text" maxlength="30" id="TextBoxStateEC" class="UpperCaseTextBox" /></TD>
												<TD colSpan="3" align="left">(for foreign address only)</TD>
											</TR>
											<TR>
												<TD class="smallfieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Country:&nbsp;</TD>
												<TD style="WIDTH: 269px" class="smallfieldvalue">
													<select name="DropDownListECCountry" onchange="__doPostBack('DropDownListECCountry','')" language="javascript" id="DropDownListECCountry" class="list">
	<option value="">-- Select One --</option>
	<option value="AF">AFGHANISTAN(ISLAMIC ST.</option>
	<option value="AA">AFRICA</option>
	<option value="AL">ALBANIA</option>
	<option value="DZ">ALGERIA</option>
	<option value="AB">AMERICAN COUNTRIES</option>
	<option value="AS">AMERICAN SAMOA</option>
	<option value="AD">ANDORRA</option>
	<option value="AO">ANGOLA (REPUBLIC OF)</option>
	<option value="AI">ANGUILLA</option>
	<option value="AQ">ANTARCTICA</option>
	<option value="AG">ANTIGUA</option>
	<option value="AR">ARGENTINA</option>
	<option value="AM">ARMENIA</option>
	<option value="AW">ARUBA</option>
	<option value="AC">ASCENSION ISLAND</option>
	<option value="AU">AUSTRALIA</option>
	<option value="AT">AUSTRIA</option>
	<option value="AZ">AZERBAIDJAN</option>
	<option value="BS">BAHAMAS</option>
	<option value="BH">BAHRAIN</option>
	<option value="BD">BANGLADESH</option>
	<option value="BB">BARBADOS</option>
	<option value="BY">BELARUS</option>
	<option value="BE">BELGIUM</option>
	<option value="BZ">BELIZE</option>
	<option value="BJ">BENIN</option>
	<option value="BM">BERMUDA</option>
	<option value="BT">BHUTAN</option>
	<option value="BO">BOLIVIA</option>
	<option value="BA">BOSNIA-HERZEGOVINA</option>
	<option value="BW">BOTSWANA</option>
	<option value="BV">BOUVET ISLAND</option>
	<option value="BR">BRAZIL</option>
	<option value="IO">BRITISH INDIAN O. TER.</option>
	<option value="BN">BRUNEI DARUSSALAM</option>
	<option value="BG">BULGARIA</option>
	<option value="BF">BURKINA FASO</option>
	<option value="BI">BURUNDI</option>
	<option value="KH">CAMBODIA</option>
	<option value="CM">CAMEROON</option>
	<option value="CA">CANADA</option>
	<option value="CV">CAPE VERDE</option>
	<option value="KY">CAYMAN ISLANDS</option>
	<option value="CF">CENTRAL AFRICAN REP.</option>
	<option value="TD">CHAD</option>
	<option value="CL">CHILE</option>
	<option value="CN">CHINA</option>
	<option value="HK">CHINA, HONG KONG</option>
	<option value="MO">CHINA, MACAU</option>
	<option value="TW">CHINA, TAIWAN</option>
	<option value="CX">CHRISTMAS ISLAND</option>
	<option value="CC">COCOS (KEELING) ISL.</option>
	<option value="CO">COLOMBIA</option>
	<option value="KM">COMOROS</option>
	<option value="CG">CONGO</option>
	<option value="CK">COOK ISLANDS</option>
	<option value="CR">COSTA RICA</option>
	<option value="HR">CROATIA</option>
	<option value="CU">CUBA</option>
	<option value="CY">CYPRUS</option>
	<option value="CZ">CZECH REPUBLIC</option>
	<option value="CS">CZECHOSLOVAKIA</option>
	<option value="DK">DENMARK</option>
	<option value="DJ">DJIBOUTI</option>
	<option value="DM">DOMINICA</option>
	<option value="DO">DOMINICAN REPUBLIC</option>
	<option value="TP">EAST TIMOR</option>
	<option value="EC">ECUADOR</option>
	<option value="EG">EGYPT</option>
	<option value="SV">EL SALVADOR</option>
	<option value="GQ">EQUATORIAL GUINEA</option>
	<option value="ER">ERITREA</option>
	<option value="EE">ESTONIA</option>
	<option value="ET">ETHIOPIA</option>
	<option value="EO">EUROPE</option>
	<option value="FK">FALKLAND ISL.(MALVINAS)</option>
	<option value="FO">FAROE ISLANDS</option>
	<option value="FJ">FIJI</option>
	<option value="FI">FINLAND</option>
	<option value="FR">FRANCE</option>
	<option value="TF">FRENCH SOUTHERN TERR.</option>
	<option value="GA">GABON</option>
	<option value="GM">GAMBIA</option>
	<option value="GE">GEORGIA</option>
	<option value="DE">GERMANY</option>
	<option value="GH">GHANA</option>
	<option value="GI">GIBRALTAR</option>
	<option value="GB">GREAT BRITAIN (UK)</option>
	<option value="GR">GREECE</option>
	<option value="GL">GREENLAND</option>
	<option value="GD">GRENADA</option>
	<option value="GP">GUADELOUPE (FR.)</option>
	<option value="GU">GUAM (US)</option>
	<option value="GT">GUATEMALA</option>
	<option value="GK">GUERNSEY</option>
	<option value="GG">GUERNSEY  (CH. ISL.)</option>
	<option value="GF">GUIANA (FR.)</option>
	<option value="GN">GUINEA</option>
	<option value="GW">GUINEA BISSAU</option>
	<option value="GY">GUYANA</option>
	<option value="HT">HAITI</option>
	<option value="HM">HEARD &amp; MCDONALD ISL.</option>
	<option value="HN">HONDURAS</option>
	<option value="HU">HUNGARY</option>
	<option value="IS">ICELANDIC</option>
	<option value="IN">INDIA</option>
	<option value="ID">INDONESIA</option>
	<option value="IR">IRAN</option>
	<option value="IQ">IRAQ</option>
	<option value="IE">IRELAND</option>
	<option value="IM">ISLE OF MAN</option>
	<option value="IL">ISRAEL</option>
	<option value="IT">ITALY</option>
	<option value="CI">IVORY COAST</option>
	<option value="JM">JAMAICA</option>
	<option value="JP">JAPAN</option>
	<option value="JE">JERSEY (CH. ISL.)</option>
	<option value="JO">JORDAN</option>
	<option value="KZ">KAZAKSTAN</option>
	<option value="KE">KENYA</option>
	<option value="KI">KIRIBATI</option>
	<option value="KP">KOREA (NORTH)</option>
	<option value="KR">KOREA (SOUTH)</option>
	<option value="KW">KUWAIT</option>
	<option value="KG">KYRGYZ REPUBLIC</option>
	<option value="LA">LAOS</option>
	<option value="LV">LATVIA</option>
	<option value="LB">LEBANON</option>
	<option value="LS">LESOTHO</option>
	<option value="LR">LIBERIA</option>
	<option value="LY">LIBYA</option>
	<option value="LI">LIECHTENSTEIN</option>
	<option value="LT">LITHUANIA</option>
	<option value="LU">LUXEMBOURG</option>
	<option value="MK">MACEDONIA (FORMER YUG.)</option>
	<option value="MG">MADAGASCAR</option>
	<option value="MW">MALAWI</option>
	<option value="MY">MALAYSIA</option>
	<option value="MV">MALDIVES</option>
	<option value="ML">MALI</option>
	<option value="MT">MALTA</option>
	<option value="MH">MARSHALL ISLANDS</option>
	<option value="MQ">MARTINIQUE (FR.)</option>
	<option value="MR">MAURITANIA</option>
	<option value="MU">MAURITIUS</option>
	<option value="YT">MAYOTTE</option>
	<option value="MX">MEXICO</option>
	<option value="FM">MICRONESIA</option>
	<option value="MD">MOLDOVA</option>
	<option value="MC">MONACO</option>
	<option value="MN">MONGOLIA</option>
	<option value="MS">MONTSERRAT</option>
	<option value="MA">MOROCCO</option>
	<option value="MZ">MOZAMBIQUE</option>
	<option value="MM">MYANMAR</option>
	<option value="NA">NAMIBIA</option>
	<option value="NR">NAURU</option>
	<option value="NP">NEPAL</option>
	<option value="AN">NETHERLAND ANTILLES</option>
	<option value="NL">NETHERLANDS</option>
	<option value="NC">NEW CALEDONIA (FR.)</option>
	<option value="NZ">NEW ZEALAND</option>
	<option value="NI">NICARAGUA</option>
	<option value="NE">NIGER</option>
	<option value="NG">NIGERIA</option>
	<option value="NU">NIUE</option>
	<option value="NF">NORFOLK ISLAND</option>
	<option value="MP">NORTHERN MARIANA ISL.</option>
	<option value="NO">NORWAY</option>
	<option value="OM">OMAN</option>
	<option value="PK">PAKISTAN</option>
	<option value="PW">PALAU</option>
	<option value="PS">PALESTINIAN</option>
	<option value="PA">PANAMA</option>
	<option value="PG">PAPUA NEW GUINEA</option>
	<option value="PY">PARAGUAY</option>
	<option value="PE">PERU</option>
	<option value="PH">PHILIPPINES</option>
	<option value="PI">PITCAIRN</option>
	<option value="PL">POLAND</option>
	<option value="PF">POLYNESIA (FR.)</option>
	<option value="PT">PORTUGAL</option>
	<option value="PR">PUERTO RICO (US)</option>
	<option value="QA">QATAR</option>
	<option value="CD">REP. DEM. CONGO</option>
	<option value="RE">REUNION (FR.)</option>
	<option value="RO">ROMANIA</option>
	<option value="RU">RUSSIAN FEDERATION</option>
	<option value="RW">RWANDA</option>
	<option value="LC">SAINT LUCIA</option>
	<option value="SM">SAN MARINO</option>
	<option value="SA">SAUDI ARABIA</option>
	<option value="SN">SENEGAL</option>
	<option value="RS">SERBIA</option>
	<option value="SC">SEYCHELLES</option>
	<option value="SL">SIERRA LEONE</option>
	<option selected="selected" value="SG">SINGAPORE</option>
	<option value="SK">SLOVAK REPUBLIC</option>
	<option value="SI">SLOVENIA</option>
	<option value="SB">SOLOMON ISLANDS</option>
	<option value="SO">SOMALIA</option>
	<option value="WM">SOMOA</option>
	<option value="ZA">SOUTH AFRICA</option>
	<option value="GS">SOUTH GEORGIA  AND SOUTH SANDWICH ISLANDS</option>
	<option value="SU">SOVIET UNION</option>
	<option value="ES">SPAIN</option>
	<option value="LK">SRI LANKA</option>
	<option value="SH">ST. HELENA</option>
	<option value="PM">ST. PIERRE &amp; MIQUELON</option>
	<option value="ST">ST. TOME AND PRINCIPE</option>
	<option value="KN">ST.KITTS NEVIS ANG.   P</option>
	<option value="VC">ST.VINCENT &amp; GRENADINES</option>
	<option value="SD">SUDAN</option>
	<option value="SR">SURINAME</option>
	<option value="SJ">SVALBARD &amp; JAN MAYEN IS</option>
	<option value="SZ">SWAZILAND</option>
	<option value="SE">SWEDEN</option>
	<option value="CH">SWITZERLAND</option>
	<option value="SY">SYRIA</option>
	<option value="TJ">TADJIKISTAN</option>
	<option value="TZ">TANZANIA</option>
	<option value="TH">THAILAND</option>
	<option value="TG">TOGO</option>
	<option value="TK">TOKELAU</option>
	<option value="TO">TONGA</option>
	<option value="TT">TRINIDAD &amp; TOBAGO</option>
	<option value="TN">TUNISIA</option>
	<option value="TR">TURKEY</option>
	<option value="TM">TURKMENISTAN</option>
	<option value="TC">TURKS &amp; CAICOS ISLANDS</option>
	<option value="TV">TUVALU</option>
	<option value="UG">UGANDA</option>
	<option value="UA">UKRAINE</option>
	<option value="AE">UNITED ARAB EMIRATES</option>
	<option value="UK">UNITED KINGDOM</option>
	<option value="US">UNITED STATES</option>
	<option value="UY">URUGUAY</option>
	<option value="UM">US MINOR OUTLYING ISL.</option>
	<option value="UZ">UZBEKISTAN</option>
	<option value="VU">VANUATU</option>
	<option value="VA">VATICAN CITY STATE</option>
	<option value="VE">VENEZUELA</option>
	<option value="VN">VIETNAM</option>
	<option value="VG">VIRGIN ISLANDS (BRIT)</option>
	<option value="VI">VIRGIN ISLANDS (US)</option>
	<option value="WF">WALLIS &amp; FUTUNA ISLANDS</option>
	<option value="EH">WESTERN SAHARA</option>
	<option value="YE">YEMEN</option>
	<option value="YU">YUGOSLAVIA</option>
	<option value="ZM">ZAMBIA</option>
	<option value="ZW">ZIMBABWE</option>

</select></TD>
												<TD class="smallfieldname" noWrap><SPAN style="COLOR: #ff0000">*</SPAN>Postal:&nbsp;</TD>
												<TD class="smallfieldvalue">
													<input name="TextBoxPostalEC" type="text" value="560331" maxlength="10" id="TextBoxPostalEC" class="UpperCaseTextbox" /></TD>
											</TR>
											<TR>
												<TD style="HEIGHT: 2px"></TD>
												<TD colSpan="3"></TD>
											</TR>
											<TR>
												<TD class="smallfieldname" noWrap></TD>
												<TD colSpan="3">Click <A onclick="PostValueEC();" href="#this"><U>here</U></A> to 
													see your address layout</TD>
											</TR>
											<TR>
												<TD style="HEIGHT: 20px"></TD>
												<TD colSpan="3"></TD>
											</TR>
											<TR>
												<TD colSpan="10">
													<TABLE class="zeropadtableBoxed" width="100%">
														<TR>
															<TD style="WIDTH: 149px" class="fieldname" noWrap>Contact:&nbsp;</TD>
															<TD colSpan="3"><SPAN class="noteBody"><I>(Please provide at least one of the telephone 
																	numbers.)</SPAN>
																</I></TD>
														</TR>
														<TR>
															<TD style="WIDTH: 149px" class="smallfieldname" noWrap>Telephone No.:&nbsp;</TD>
															<TD colSpan="3">
																<input name="TextboxTelCounEC" type="text" maxlength="3" readonly="readonly" id="TextboxTelCounEC" class="textbox" />&nbsp;&nbsp;
																<input name="TextboxTelAreaEC" type="text" maxlength="4" readonly="readonly" id="TextboxTelAreaEC" class="textbox" />&nbsp;&nbsp;
																<input name="TextBoxTelNoEC" type="text" maxlength="15" id="TextBoxTelNoEC" class="textbox" />&nbsp;&nbsp;
																<input name="TextboxTelExtEC" type="text" maxlength="5" id="TextboxTelExtEC" class="textbox" /></TD>
														</TR>
														<TR>
															<TD style="WIDTH: 153px">&nbsp;</TD>
															<TD colSpan="3" align="left">(Country)&nbsp;&nbsp;&nbsp;&nbsp;(Area)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Number)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Ext)</TD>
														</TR>
														<TR>
															<TD style="WIDTH: 149px" class="smallfieldname" noWrap>Mobile No.:&nbsp;</TD>
															<TD colSpan="3">
																<input name="TextBoxMobileCounEC" type="text" maxlength="3" id="TextBoxMobileCounEC" class="textbox" />&nbsp;&nbsp;
																<input name="TextBoxMobileNoEC" type="text" value="97262241" maxlength="15" id="TextBoxMobileNoEC" class="textbox" /></TD>
														</TR>
														<TR class="smallestfieldvalue">
															<TD style="WIDTH: 149px">&nbsp;</TD>
															<TD colSpan="3">(Country)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(Number)</TD>
														</TR>
														<TR>
															<TD style="WIDTH: 149px" class="smallfieldname" noWrap><SPAN style="COLOR: green">+</SPAN>Office 
																Telephone No.:&nbsp;</TD>
															<TD style="WIDTH: 269px" class="smallfieldvalue">
																<input name="TextBoxOfficeNoEC" type="text" maxlength="15" id="TextBoxOfficeNoEC" class="textbox" />&nbsp;<SPAN class="smallfieldname">(Ext)</SPAN>
																<input name="TextBoxOfficeExtEC" type="text" maxlength="5" id="TextBoxOfficeExtEC" class="textbox" /></TD>
															<TD class="smallfieldname" noWrap><SPAN style="COLOR: green">+</SPAN>Pager 
																No.:&nbsp;</TD>
															<TD>
																<input name="TextBoxPagerNoEC" type="text" maxlength="50" id="TextBoxPagerNoEC" class="textbox" /></TD>
														</TR>
														<TR>
															<TD style="WIDTH: 149px" class="smallfieldname" noWrap>Email:&nbsp;</TD>
															<TD style="WIDTH: 269px" class="smallfieldnote" align="left">
																<input name="TextBoxEmailEC" type="text" value="sumaun@gmail.com" maxlength="40" id="TextBoxEmailEC" class="textbox" /></TD>
															<TD class="smallfieldname" noWrap><SPAN style="COLOR: green">+</SPAN>Fax:&nbsp;</TD>
															<TD class="smallfieldnote">
																<input name="TextboxFaxEC" type="text" maxlength="15" id="TextboxFaxEC" class="textbox" /></TD>
														</TR>
													</TABLE>
												</TD>
											</TR>
										
										<TR>
											<TD class="resultTableHead" colSpan="4">Formal Correspondence</TD>
										</TR>
										<TR>
											<TD colSpan="4">
												<TABLE width="100%">
													<TR>
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